I am studying and eating melons in Chronicle

"Then let me tell you about her mother's diagnosis and treatment plan for mid-lobectomy."

Yun Yi explained the whole process fluently, and Yun Ling concluded from it that the main problem of Qian's mother was the damage of postoperative liver reserve and blood coagulation function.

Although surgery preserves more than 50% of the remaining liver volume, which is indeed the key to preventing postoperative liver failure.

However, due to the inevitable existence of two liver sections in the middle lobe resection, it is often necessary to dissect two hepatic hilums, and the integrity of the remaining bile ducts and blood vessels on both sides must be preserved while the cavernous vascular tumor is completely resected.

Therefore, compared with hemihepatectomy or extended hemihepatectomy, both the operation time, intraoperative blood loss and hepatic hilum blockage time are significantly longer.

According to the current medical level, Yunling estimates that the hospital can only adopt conservative comprehensive resuscitation treatment.

Sure enough, Yun Yi sighed: "Director Wu's plan is to temporarily supplement a large amount of fresh plasma and platelets, monitor blood coagulation function at all times, and try to maintain a stable circulation."

As the saying goes, what is lacking can only be supplemented in this way. After all, there is no cryoprecipitate clotting factor.

Yunling Jingmo, if you want to carry out better recovery treatment, you still have to develop a human prothrombin complex, but this process not only requires a fully automatic coagulation instrument, but also a freeze dryer and a dry heat inactivation system.

Layers are high mountains.

Fortunately, Yun Yi reported good news at the end: "However, after many days of monitoring, her mother's postoperative recovery has returned to normal, so it won't be long before your friend may go back."

Yunling smiled and said: "Then she should stay in the capital for a few more days, I think she can't worry about her mother now, and the village has been in chaos these few days."

Yun Yi worried: "Did something happen to you?"

"Actually, it has nothing to do with us. It's just that one family in the village caught fire, and then several families were implicated. It seems that the loss is quite serious."

"Then you should be more careful at ordinary times. During winter and spring, the wind is strong and dry, which can easily cause fires. Be careful when lighting a fire. If something unexpected happens, don't worry about your belongings. The most important thing is to protect yourself."

Yunling hurriedly interrupted him, afraid that the old father would not stop nagging, "Of course I know, don't you and my mother know how careful I am?"

Yun Yi asked again: "Is the money enough to spend? Is there any shortage of tickets?"

"No, no, I don't lack anything."

"Spring is here, buy yourself a few more clothes, and I'll give you postage stamps then."

Yunling resolutely refused: "Dad, my suit last year was quite new, so you don't need to buy it, you can keep the cloth ticket for yourself!"

"Girls have more money, but if you have money, don't tell it!" Yun Yi kept repeating these warning words over and over again, "I don't need those tickets, but your mother's clothes are indeed a little short , if you don’t want it, I’ll keep it for her.”

"I really don't need anything, I don't need anything!" She chatted dryly, and took the initiative to leave, "Dad, I have to go to the clinic, hang up first?"

Yun Yi: "Well, that's fine. By the way, this month's family letter should be written with an extra page. Every time there are only a few sentences, I'm tired of reading it..."

"Okay, I know!"

She hangs up completely and pays another exorbitant phone bill.

I thought: If there is no urgent matter in the future, I should write a letter... At least the money can be written several times.

It just so happened that Xiao Ma also came back, seeing that she was still here, he was a little surprised: "Doctor Yun, you haven't left yet?"

Yun Ling was about to take the money out of her pocket, "It's been a long time chatting, are you not busy? Then I'll just give you the money directly!"

"Okay." Xiao Ma took the money and wentssip, "Hey, Doctor Yun, I just went to deliver the documents to the captain, and the police still have to check the household registration, saying that it is to investigate suspicious persons. Do you think it is difficult? This Was the fire really set by the villagers?"

Yun Ling didn't know, although she suspected that Ma Hansheng set the fire before, but there was no evidence, it was just speculation.

Don't believe in rumors, don't spread rumors, she said directly and decisively: "How would we know about this kind of thing?"

Xiao Ma thought so too, the villagers couldn't figure it out, let alone these educated youths?
In the final analysis, Dr. Yun had stayed there for a long time and had a good relationship with the villagers, so he subconsciously regarded her as a member of the village.

In the morning, all the wounded were basically dealt with, and in the afternoon they returned to a quiet and idle state.

However, she still thought too well.

"My son—"

If you haven't seen him, hear his voice first.

Although I don't know which old parents are so heart-piercing, but Yunling put down the book calmly, it is commonplace.

The last time it was the heroine's aunt, this time I don't know who it is?

Yun Ling raised her head, it seemed to be the Song family, the whole family was present, except for Tu Sizi who stayed here in the morning.

"Doctor, come here quickly! Show my Tiandong why he can't speak anymore?"

It turned out to be Song Tiannan's third brother - Song Tiandong.

In order to prevent excessive harassment, Yunling explained in advance: "The family members step aside first, don't surround the patient, keep quiet."

In normal times, Song's father and Song's mother would never listen to it, but it was related to their precious son, so they obediently obeyed without saying harsh words.

Song Tiandong is not yet an adult, and is about the same age as Su Nuan, but twice as fat as her. It is rare to raise such a fat child these days.

He had black scabs on the nasal mucosa, burnt nasal hair, hoarseness, painful swallowing, coughing and spitting, and laryngeal edema.

Yunling took back the bronchoscope and said seriously, "Why didn't you come earlier? According to the severity of the injury, the tracheal mucous membrane can be coughed out the next day."

"Ah?" Song's mother almost fell back and fainted, thanks to her second son who picked it up in time.

Song's father was as anxious as an ant on a hot pot, "What kind of disease is this? Can it be cured? Is it because your medical skills are not in place, so you gave my son some incurable disease? He had a cough at the beginning, but It's not as serious as it is now!"

Yunling seemed to have gotten used to some of the villagers' nonsense, so she calmly replied, "It's a kind of inhalation injury. From the preliminary examination, it can be deduced that it is caused by direct heat conduction, that is, the upper respiratory tract mucosa is damaged by inhalation of overheated gas."

Song Tiannan is obviously the head of this family, interrupting the second elder's intention to continue to spoil, he was quite polite to Yunling: "Does Doctor Yun have a cure?"

Even though Yunling had a very bad impression of this person, perhaps this was the only one left in his family who could understand human speech.

"Current treatment methods are nothing more than infusion to expel sputum, oxygen atomization inhalation, and tracheotomy to remove secretions. However, my place is a small clinic, and the county hospital does not have relevant equipment. You'd better pack up and go to the provincial capital. Get ready for treatment."

Different from the caring and tenderness towards Tu Sizi, Yunling has a completely business-like attitude.She also wanted to abide by the professional ethics of doctors and treat patients equally, but she couldn't pretend to be helpless.

Data reference——Zhang Chengwu, Liu Jie, Zhao Dajian. Clinical application of middle lobectomy [J]. Journal of Hepatobiliary and Pancreatic Surgery, 2013, 25(04):272-274+306.